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DocuSign Envelope ID:32FCA70E-8C9D-4D85-AOBE-B88413353B8B <br /> 19 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: North State Communications Advanced Services, LLC Party/Vendor Contact Person: <br /> Diego Anderson Contact Phone: Party/Vendor Address: One Lumos Plaza City Waynesboro State: <br /> VA Zip: 22980 Department: County Manager Amount: $10,000,000 Purpose: Broadband Initiative Budget <br /> Code(s): To be provided by Financial Services Vendor # (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No[:] Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date <br /> Approved by Board Yes®No❑ Agenda Date: 6/21/22 <br /> This agreement is approved as to technical form and content: <br /> fUocuSigFled by:� <br /> Department Director's Signature l�`�S � Date: 6/22/2022 <br /> 0A3E81B12B364B4... <br /> Asset Management <br /> (Applicable only to construction contracts) This agreement has been reviewed and is approved as to <br /> construction services content and specifications: <br /> Office of the Asset Management Director Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of DocuSigned by: s, specifications, and requirements: <br /> Office of the Risk Management Officer QUSX l,Q�6 Date: 6/22/2022 <br /> 7FDCF9176SO0498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer Date: 6/22/2022 <br /> -7NE5181ACC 1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney jxmGS + atu Date: 6/22/2022 <br /> 328DC480549A4F5.... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> 16 <br />